Research Article
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Year 2022, Volume: 8 Issue: 6, 755 - 761, 04.11.2022
https://doi.org/10.18621/eurj.1020958

Abstract

References

  • 1. Hui DS, Azhar EI, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health--The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis 2020;91:264-6.
  • 2. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Meşe EA. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci 2020;50(SI-1):489-94.
  • 3. Dotzauer R, Böhm K, Brandt MP, Sparwasser P, Haack M, Frees SK, et al. Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic. World J Urol 2021;39:3139-45.
  • 4. Ahmed K, Hayat S, Dasgupta P. Global challenges to urology practice during the COVID-19 pandemic. BJU Int 2020;125:E5-6.
  • 5. Cohen MS, Hellmann N, Levy JA, DeCock K, Lange J. The spread, treatment, and prevention of HIV-1: evolution of a global pandemic. J Clin Invest 2008;118:1244-54.
  • 6. Flecknoe D, Charles Wakefield B, Simmons A. Plagues & wars: the 'Spanish Flu' pandemic as a lesson from history. Med Confl Surviv 2018;34:61-8.
  • 7. Pillai S, Siddika N, Hoque Apu E, Kabir R. COVID-19: Situation of European Countries so far. Arch Med Res 2020;51:723-5.
  • 8. Wang J, Du G. COVID-19 may transmit through aerosol. Ir J Med Sci 2020;189:1143-4.
  • 9. Atalan A. Is the lockdown important to prevent the COVID-19 pandemic? Effects on psychology, environment and economy-perspective. Ann Med Surg 2020;56:38-42.
  • 10. Miller SM. Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. J Pers Soc Psychol 1987;52:345-53.
  • 11. Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner JJHA. The impact of the COVID-19 pandemic on hospital admissions in the United States. Health Aff (Millwood) 2020;39:2010-7.
  • 12. Helgeland J, Telle KE, Grøsland M, Huseby BM, Håberg S, Lindman ASE. Admissions to Norwegian hospitals during the COVID-19 pandemic. Scand J Public Health 2021;49:681-8.
  • 13. Bodilsen J, Nielsen PB, Søgaard M, Dalager-Pedersen M, Speiser LOZ, Yndigegn T, et al. Hospital admission and mortality rates for non-covid diseases in Denmark during covid-19 pandemic: nationwide population based cohort study. BMJ 2021;373:n1135.
  • 14. Motterle G, Morlacco A, Iafrate M, Bianco M, Federa G, Xhalka O, et al. The impact of COVID-19 pandemic on urological emergencies: a single-center experience. World J Urol 2020;39:1985-9.
  • 15. Ribal MJ, Cornford P, Briganti A, Knoll T, Gravas S, Babjuk M, et al. EAU Section Offices and the EAU Guidelines Panels. European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era. Eur Urol 2020;78:21-8.
  • 16. Ficarra V, Novara G, Abrate A, Bartoletti R, Crestani A, Nunzio CD, et al. Urology practice during COVID-19 pandemic. Minerva Urol Nefrol 2020;72:369-75.
  • 17. Stensland KD, Morgan TM, Moinzadeh A, Lee CT, Briganti A, Catto JWF, et al. Considerations in the triage of urologic surgeries during the COVID-19 pandemic. Eur Urol 2020;77:663-6.
  • 18. Pepe P, Pepe L, Pennisi M, Fraggetta F. Prostate cancer diagnosis and management during one year of the COVID-19 pandemic. Anticancer Res 2021;41:3127-30.
  • 19. Ok F, Durmus E. Disease management in a patient diagnosed with COVID-19 disease during induction intravesical BCG therapy: a case report and review of the literature. Urologia 2021. doi: 10.1177/03915603211001670
  • 20. Woolf SH, Chapman DA, Sabo RT, Weinberger DM, Hill L. Excess deaths from COVID-19 and other causes, March-April 2020. JAMA 2020;324:510-3.

The impact of the COVID-19 pandemic on the urology practice in a large tertiary hospital

Year 2022, Volume: 8 Issue: 6, 755 - 761, 04.11.2022
https://doi.org/10.18621/eurj.1020958

Abstract

Objectives: We aimed to reveal how four different areas that are important in the functioning of the urology clinic (outpatient clinic, inpatient clinic, operating room, and consultations) were affected during the COVID-19 pandemic.


Methods:
Patients admitted to the surgical branches between March 11, 2018 and March 10, 2021 were retrospectively evaluated in terms of their demographic data. The data between these dates were analyzed by dividing the patients into three groups as Groups A, B, and C for the pandemic period, the year before the pandemic, and two years before the pandemic, respectively.

Results: A total of 1,222,967 patients were included in the study. During the pandemic period, the number of urology outpatient clinic admissions decreased by more than half compared to the previous years (37,471, 93,582, and 89,031 for Groups A, B, and C, respectively). Admissions to the urology inpatient clinic decreased both numerically and proportionally when compared to the other surgical branches (1,301 [5.1%] for Group A, 3,884 [7.7%] for Group B, and 3,761 [7.7%] for Group C]). While the mortality rate did not change proportionally in the urology clinic in all groups (0.3%), it increased both numerically and proportionally in all surgical branches (339 [1.3%], 304 [0.6%], and 256 [0.5%]).

Conclusions: Admissions to the urology clinic were determined to have decreased during the pandemic compared to the pre-pandemic period, especially due to restriction measures taken by countries and concerns about the unknowns of the disease. As a result of this decrease, the number of operations and the number of hospitalized patients were also reduced. Although the mortality rate was not affected in the short-term follow-up of patients, long-term outcomes remain uncertain.

References

  • 1. Hui DS, Azhar EI, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health--The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis 2020;91:264-6.
  • 2. Demirbilek Y, Pehlivantürk G, Özgüler ZÖ, Meşe EA. COVID-19 outbreak control, example of ministry of health of Turkey. Turk J Med Sci 2020;50(SI-1):489-94.
  • 3. Dotzauer R, Böhm K, Brandt MP, Sparwasser P, Haack M, Frees SK, et al. Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic. World J Urol 2021;39:3139-45.
  • 4. Ahmed K, Hayat S, Dasgupta P. Global challenges to urology practice during the COVID-19 pandemic. BJU Int 2020;125:E5-6.
  • 5. Cohen MS, Hellmann N, Levy JA, DeCock K, Lange J. The spread, treatment, and prevention of HIV-1: evolution of a global pandemic. J Clin Invest 2008;118:1244-54.
  • 6. Flecknoe D, Charles Wakefield B, Simmons A. Plagues & wars: the 'Spanish Flu' pandemic as a lesson from history. Med Confl Surviv 2018;34:61-8.
  • 7. Pillai S, Siddika N, Hoque Apu E, Kabir R. COVID-19: Situation of European Countries so far. Arch Med Res 2020;51:723-5.
  • 8. Wang J, Du G. COVID-19 may transmit through aerosol. Ir J Med Sci 2020;189:1143-4.
  • 9. Atalan A. Is the lockdown important to prevent the COVID-19 pandemic? Effects on psychology, environment and economy-perspective. Ann Med Surg 2020;56:38-42.
  • 10. Miller SM. Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. J Pers Soc Psychol 1987;52:345-53.
  • 11. Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner JJHA. The impact of the COVID-19 pandemic on hospital admissions in the United States. Health Aff (Millwood) 2020;39:2010-7.
  • 12. Helgeland J, Telle KE, Grøsland M, Huseby BM, Håberg S, Lindman ASE. Admissions to Norwegian hospitals during the COVID-19 pandemic. Scand J Public Health 2021;49:681-8.
  • 13. Bodilsen J, Nielsen PB, Søgaard M, Dalager-Pedersen M, Speiser LOZ, Yndigegn T, et al. Hospital admission and mortality rates for non-covid diseases in Denmark during covid-19 pandemic: nationwide population based cohort study. BMJ 2021;373:n1135.
  • 14. Motterle G, Morlacco A, Iafrate M, Bianco M, Federa G, Xhalka O, et al. The impact of COVID-19 pandemic on urological emergencies: a single-center experience. World J Urol 2020;39:1985-9.
  • 15. Ribal MJ, Cornford P, Briganti A, Knoll T, Gravas S, Babjuk M, et al. EAU Section Offices and the EAU Guidelines Panels. European Association of Urology Guidelines Office Rapid Reaction Group: An Organisation-wide Collaborative Effort to Adapt the European Association of Urology Guidelines Recommendations to the Coronavirus Disease 2019 Era. Eur Urol 2020;78:21-8.
  • 16. Ficarra V, Novara G, Abrate A, Bartoletti R, Crestani A, Nunzio CD, et al. Urology practice during COVID-19 pandemic. Minerva Urol Nefrol 2020;72:369-75.
  • 17. Stensland KD, Morgan TM, Moinzadeh A, Lee CT, Briganti A, Catto JWF, et al. Considerations in the triage of urologic surgeries during the COVID-19 pandemic. Eur Urol 2020;77:663-6.
  • 18. Pepe P, Pepe L, Pennisi M, Fraggetta F. Prostate cancer diagnosis and management during one year of the COVID-19 pandemic. Anticancer Res 2021;41:3127-30.
  • 19. Ok F, Durmus E. Disease management in a patient diagnosed with COVID-19 disease during induction intravesical BCG therapy: a case report and review of the literature. Urologia 2021. doi: 10.1177/03915603211001670
  • 20. Woolf SH, Chapman DA, Sabo RT, Weinberger DM, Hill L. Excess deaths from COVID-19 and other causes, March-April 2020. JAMA 2020;324:510-3.
There are 20 citations in total.

Details

Primary Language English
Subjects Urology
Journal Section Original Articles
Authors

Gökçe Dündar 0000-0001-9799-9700

Anıl Erkan 0000-0003-3130-9046

Publication Date November 4, 2022
Submission Date November 9, 2021
Acceptance Date May 9, 2022
Published in Issue Year 2022 Volume: 8 Issue: 6

Cite

AMA Dündar G, Erkan A. The impact of the COVID-19 pandemic on the urology practice in a large tertiary hospital. Eur Res J. November 2022;8(6):755-761. doi:10.18621/eurj.1020958

e-ISSN: 2149-3189 


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